Healthcare Provider Details
I. General information
NPI: 1598105561
Provider Name (Legal Business Name): CAUTIOUS INVESTMENT VENTURES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2013
Last Update Date: 01/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9894 BISSONNET ST SUITE 786
HOUSTON TX
77036-8239
US
IV. Provider business mailing address
9894 BISSONNET ST SUITE 786
HOUSTON TX
77036-8239
US
V. Phone/Fax
- Phone: 713-239-0907
- Fax: 713-239-0907
- Phone: 713-239-0907
- Fax: 713-239-0907
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
UDO
MOSES
WILLIAMS
Title or Position: DIRECTOR
Credential: PHD
Phone: 713-239-0907